Individual
BARAKA MUJTABA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1657 W CORTLAND ST, CHICAGO, IL 60622-1119
(877) 486-4140
Mailing address
7921 LYONS ST, MORTON GROVE, IL 60053-1636
(630) 246-0010
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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